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1932326360
WILLIE RENIA TYSON
DALLAS, TX
NPI
1932326360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 508676)
Enumeration Date
2007-04-19
Last Update Date
2007-07-08
Business Address
-- WILLIE RENIA TYSON
1380 RIVER BEND DR.
DALLAS, TX 75247
Phone number: 214-743-6159
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Mailing Address
-- WILLIE RENIA TYSON
1380 RIVER BEND DR.
DALLAS, TX 75247
Phone number:
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